| Regen Or | |
|
730 Sandhill Rd Ste 120 Reno NV 89521-8962 | |
| (775) 683-9026 | |
| (775) 683-9017 |
| Full Name | Regen Or |
|---|---|
| Speciality | General Practice |
| Location | 730 Sandhill Rd Ste 120, Reno, Nevada |
| Authorized Official Name and Position | Michelle Bresee (OPERATIONS MANAGER) |
| Authorized Official Contact | 7076722974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regen Or 730 Sandhill Rd Ste 120 Reno NV 89521-8962 Ph: (775) 683-9026 | Regen Or 730 Sandhill Rd Ste 120 Reno NV 89521-8962 Ph: (775) 683-9026 |
| NPI Number | 1619658028 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 09/07/2023 |
| Medicare PECOS PAC ID | 5698139731 |
|---|---|
| Medicare Enrollment ID | O20230908000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619658028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lloyd L Decker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104122530 PECOS PAC ID: 8729222401 Enrollment ID: I20230908000183 |
| Provider Name | Lillian Jeffs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669242178 PECOS PAC ID: 9537506167 Enrollment ID: I20240319001704 |
| Provider Name | Eric Wise |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114093366 PECOS PAC ID: 4789775602 Enrollment ID: I20240412000725 |
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